| NPI | 1295751196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA SAWHILL Partner 231-723-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MI 233968) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-08-05 |